(You do not need to provide information
about alimony, child support, separate maintenance or other sources of
income if you do not wish to have them considered as income.)

Have You Filed For Bankruptcy?

Are You A U.S. Citizen Or Permanent Resident Alien?

Are You A Co-Maker/Endorser On Any Loan?

If Yes, Then For Whom?

Balance:

Do You Currently Have Any Outstanding Judgements
Or Have You Had A Debt Adjustment, Repossession, Or Property Foreclosed
In The Last 7 Years Or Are A Party To A Lawsuit?

You agree that everything stated in this application
is correct to the best of your knowledge. The Credit Union is authorized
to investigate your creditworthiness, employment history, and to obtain
a credit report to answer questions about their credit experience with
you. You understand that any false or misleading statement in your application
may cause any loan or extension of credit to be in default. You authorize
us to accept your facsimile signatures on this application and agree
that your facsimile signature will have the same legal forceand effect
as your original signature. You assume any risk that may be associated
with permitting us to accept your facsimile signature.

By pressing the "Submit Application" button
below, you agree to the above statement. You understand that we may
require additional information to finalize our credit decision and your
signature on additional documents prior to disbursing any credit proceeds.